The best time to do postural drainage is either before a meal or an hour and a half after a meal, when your stomach is emptiest. Use one of the following positions: Sitting. Lying on your back, stomach, or side.
What is postural drainage and percussion?
Postural drainage and chest percussion are often used together to help loosen and remove mucus from the lungs. These airway clearance techniques help people who have a spinal cord injury, cystic fibrosis, or another condition that makes it hard for mucus to drain from the lungs.
Which position is used for postural drainage of the lungs?
Your chest should be lower than your hips, which you can achieve by lying on a slanted surface or propping your hips up about 18 to 20 inches with pillows or another item. This position is best for draining the bottom front parts of your lungs.
What are the contraindications for postural drainage?
The following are absolute and relative contraindications for postural drainage3:
- • Acute hemorrhage with hemodynamic instability (absolute contraindication)
- • Unstabilized head or neck injury (absolute contraindication)
- • ICP greater than 20 mm Hg.
- • Acute spinal injury or recent spinal surgery.
What are the different positions of postural drainage?
In general, the upper lobe segments have the advantage of gravity drainage both in erect as well as in semi recumbent position, so postural drainage can be facilitated in sitting or lying posture. The middle and lower lobes do not have the advantage of gravity drainage in erect, semi-recumbent or recumbent postures.
How many positions are there in postural drainage?
Depending on the anatomical angle of the lobes or segments of the lungs to be drained (Fig. 1), the patient may be placed in sitting, prone, supine, side lying or in a head down tilt of between 15 and 30 degrees.
Which patient is indicated for postural drainage?
Postural drainage will be beneficial for many patients suffering from respiratory condition in which excessive secretions are present. These conditions may include: Bronchiectasis. Cystic Fibrosis.
What is postural drainage technique?
Postural drainage uses gravity to help move mucus from the lungs up to the throat. The person lies or sits in various positions so the part of the lung to be drained is as high as possible. That part of the lung is then drained using percussion, vibration and gravity.
What is postural drainage and chest percussion?
Postural drainage is generally performed for three to five minutes on each segment. During this time, the person being treated should take slow, deep breaths followed by a vigorous coughing to help clear mucus. Chest percussion involves using a cupped hand and alternately clapping both hands on the person’s chest wall.
What is postural drainage therapy?
Postural Drainage Therapy. PDT 1.0 PROCEDURE: Postural drainage therapy (PDT) is a component of bronchial hygiene therapy. It consists of postural drainage, positioning, and turning and is sometimes accompanied by chest percussion and/or vibration.
What is postural drainage of the posterior basal segment?
Postural Drainage of the Posterior Basal Segments. For this position, the person will lie on his or her stomach with hips and legs elevated on pillows. The caregiver will percuss and vibrate the lower part of the back over the left and right sides of the spine, taking care to avoid the spine and lower ribs.
Can postural drainage help with cystic fibrosis?
Other ways to relieve the lung congestion of cystic fibrosis or bronchiectasis include percussion vests and inhaled aerosols. With postural drainage, you get into a position that helps drain fluid out of your lungs. It may help: A respiratory therapist, nurse, or doctor will show you the best position for postural drainage.
